广西大化县1990-2007年疟疾监测措施与效果评价

目的分析广西大化县1990-2007年疟疾监测结果和流行特征，评价监测措施，为疟疾防治后期监测提供科学依据。方法收集1990-2007年大化县当地居民发热病人、流动人口发热病人监测资料进行回顾性分析。结果18年间共血检当地居民发热病人362173人次、病灶点居民5562人次，外出回归3864人次，外来流动人群2425人次，检出当地感染疟疾病例23例，输入疟疾病例333例，当地居民发热病人，外出回归和外来人群发热病人血栓阳性率分别为0．003％，8．39％和0．37％，外出回归感染病例占91．01％（324／356），外来病例占2．53％（9／356）。结论大化县疟疾发病率连续18年控制在1／万以下，输入性疟疾病例数量多、分布面广、高度分散，疟疾监测和防治措施可行有效。应继续加强对原高疟区回归人群疟疾管理和监测，巩固疟疾防治成果。

Evaluation of effect of malaria surveillance and control in Dahua County from 1990 to 2007

Objective To analyze the result of malaria surveillance and control and evaluate measures in malaria surveil-lance in Dahua County from 1990 to 2007. Methods The data concerning blood examination of febrile patients both of local residents and mobile population from 1990 to 2007 were collected and analyzed. Results There 362173 febrile patients in indigenous residents, 3864 returned from outside of the county and 2425 mobile population were examined in the past 18years. There 23 local infections and 333 imported cases were detected. The positive rates of indigenous feverish cases, retured and moved in feverish cases were 0.003% ,8.39% and 0.37% . 91.01% （324/356） of malaria cases were returned population and 2.53 % （9/356） were those moved in from outside of this county. Conclusion Malaria incidence in Dahua County has been controlled under 1/10000 for 18 years. There is no indigenous malaria cases since 1996. Most of malaria cases are imported scattered in this county., malaria control and surveillance measures are effective.